Healthcare Provider Details

I. General information

NPI: 1629918669
Provider Name (Legal Business Name): MARGARET PIVOVAR OT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 NW PRYOR RD
LEES SUMMIT MO
64081-1104
US

IV. Provider business mailing address

1604 E 131ST ST
KANSAS CITY MO
64146-1607
US

V. Phone/Fax

Practice location:
  • Phone: 816-524-1133
  • Fax:
Mailing address:
  • Phone: 816-524-1133
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number2011038264
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number17-01034
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: